Brian M Grandpre is a Clinical in Moorhead, Minnesota. Brian M Grandpre practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian M Grandpre is 1962434332. The last update date is 2007-07-08.
Brian M Grandpre's current location address is 1010 32nd Ave S, Moorhead, Minnesota. You can contact this provider via phone number 2182337524 and fax number 2182338627. The mailing address for Brian M Grandpre is 1010 32nd Ave S, Moorhead, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian M Grandpre |
|---|---|
| Address | 1010 32nd Ave S, Moorhead, Minnesota |
| Phone Number | 2182337524 |
| Fax Number | 2182338627 |
| Sole Proprietor | N |
| Credentials | MSW/LICSW |
NPI Number Detail
| NPI Number | 1962434332 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1010 32nd Ave S |
|---|---|
| City | Moorhead |
| State | Minnesota (MN) |
| Post Code | 565605001 |
| Phone Number | 2182337524 |
| Fax Number | 2182338627 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 16723 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Brian M Grandpre by the Centers for Medicare & Medicaid Services?
The Brian M Grandpre has been assigned the NPI (National Provider Identifier) 1962434332. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brian M Grandpre?
The Brian M Grandpre is situated at 1010 32Nd Ave S, in the city of Moorhead, state of MN, with the zip code 565605001.
What is the Brian M Grandpre's area of specialization and corresponding taxonomy classification?
The Brian M Grandpre's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Brian M Grandpre receive its 1962434332 assignment from the Centers for Medicare & Medicaid Services?
The Brian M Grandpre was assigned its 1962434332 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Brian M Grandpre's details last updated?
The information pertaining to the Brian M Grandpre, including its address, specialty, and other details, was most recently updated on 2007-07-08.